Jody L Poultney, LCSW

NPI #1407172554 in Normal, Illinois

Provider Information

NPI Number
1407172554
Entity Type
Individual
Name
Jody L Poultney, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Apr 14, 2010
Last Updated
Apr 14, 2010

Practice Location

Address
403 W VIRGINIA AVE
City
Normal
ZIP Code
61761-3666
Phone
(309) 268-3669

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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